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Costochondritis, also known as chest wall pain syndrome or costosternal syndrome, is a benign inflammation of the upper costochondral (rib to cartilage) and sternocostal (cartilage to sternum) joints. 90% of patients are affected in multiple ribs on a single side, typically at the 2nd to 5th ribs. [1]
Physical examination consists of gentle pressure to the chest wall with a single finger to identify the location of the discomfort. [2] Swelling and tenderness upon palpation at one or more of the costochondral , sternocostal , or sternoclavicular joints, is a distinctive trait of Tietze syndrome and is considered a positive diagnosis when found.
The suprasternal notch is a visible dip in between the neck, between the clavicles, and above the manubrium of the sternum. It is at the level of the T2 and T3 vertebrae. [2] The trachea lies just behind it, rising about 5 cm above it in adults. [3]
Back pain When your back aches and there’s no obvious cause (like lifting heavy boxes or falling), inflammation could be the root cause . Inflammatory back pain tends to come on gradually and ...
The underlying cause is unclear. Some believe the pain may be from the chest wall or irritation of an intercostal nerve. [1] [2] Risk factors include psychological stress. [2] The pain is not due to the heart. Diagnosis is based on the symptoms. Other conditions that may produce similar symptoms include angina, pericarditis, pleurisy, and chest ...
It can cause a range of potential symptoms, including chest pain that can feel like pressure, tightness, pain, squeezing, or aching, as well as fatigue, nausea, and shortness of breath. A heart ...
Costochondritis is a common cause of chest pain, consisting of up to 30% of chest pain complaints in emergency departments. The pain is typically diffused with the upper costochondral or sternocostal junctions most frequently involved, unlike slipping rib syndrome, which involves the lower rib cage.
Pectus up technique, a small hole is drilled into the sternum at the deepest point of defect, and a double screw is driven into the hole. Then, a stainless steel implant is placed underneath the skin on top of the sternum and ribs, centered over the double screw.